Shangri-la Physical Therapy

Organization Active NPI Physical Therapy Clinic/Center · Pearce, AZ

NPI 1306036033 · NPPES record last updated Aug 14, 2008

Key facts

NPI
1306036033
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
License
1500 (AZ)
Legal business name
SHANGRI-LA PHYSICAL THERAPY
Practice address
105 Frontage Rd
Ste F
Pearce, AZ 85625
Phone
(520) 826-3222
Fax
(520) 826-3222
NPI assigned
Jul 30, 2007
Organization subpart
No

Authorized official

Name
Miss Erika M Slover, PT
Title
Owner Physical Therapist
Phone
(520) 826-3222

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1500 AZ Yes

Addresses

Primary practice location

105 Frontage Rd
Ste F
Pearce, AZ 85625

Mailing address

PO Box 304
Pearce, AZ 85625-0304
Phone (520) 826-3222

Other identifiers

IdentifierTypeStateIssuer
783078MedicaidAZ

Other providers in Pearce, AZ

All providers in Pearce, AZ · Physical Therapy Clinic/Center in Arizona

Sources for this page

Verify at the official NPI Registry.